The impact of being uninsured is profound and multifaceted, affecting millions across various demographics and socioeconomic backgrounds.
The Uninsured
25.6 million uninsured
- 11.4% adults 18-64; 3.4% children; 6.7% elderly (>65)
- Medicaid/CHIP enrollment decreased by 12.2m since unwinding
More than 3⁄4 live in poverty
- >80% have incomes below 400% FPL
- ~50% have incomes below 200% FPL
Nearly 85% are employed
- 73.3% of at least one full-time worker
- 10.9% at least one part-time worker
>62% are POC
- 8.7m (>30%) are immigrants
- 2/3 have been uninsured >1yr
Rates of Uninsured
Lowest Ranked States
| State | Ranking | % Uninsured | Medicaid Expansion |
| California | 21 | 6.5% | Y |
| Utah | 30 | 8.1% | Y |
| North Carolina | 40 | 9.3% | Y |
| Tennessee | 40 | 9.3% | N |
| Mississippi | 43 | 10.8% | N |
| Alaska | 44 | 11.0% | Y |
| Nevada | 45 | 11.1% | Y |
| Florida | 46 | 11.2% | N |
| Wyoming | 47 | 11.5% | N |
| Georgia | 48 | 11.7% | N |
| Oklahoma | 48 | 11.7% | Y |
| Georgia | 48 | 11.7% | N |
| Texas | 50 | 16.6% | N |
- 64.2% Coverage not affordable
- 28.4% Not eligible for coverage
- 26.1% Doesn’t need/want
- 22.2% Signing up was too difficult/confusing
- 18.5% Can’t find a plan to meet needs
- 4.5% Lost job
- Lack of insurance
- Poverty
- Lack of Childcare
- Disproportionately impacts women
- Working Hours
- No right to time off for medical care ? Not entitled to FMLA
- Can’t afford to take unpaid time off even if permitted
- Language
- Cultural • Healthcare Literacy
- Lack of Information
- Geographic Region
- Distance
- Clinician Shortages - Transportation
- 1 out of 5 adults (~3.5m) report foregoing care due to lack of transportation
- Disproportionately impacts adults w/disability - Clinic Hours/Appt Availability
- Disproportionately impacts - Lack of technology - Wifi, reliable cell
- lack of Mailing Address
- $42.4 billion in uncompensated costs annually
- Higher acuity @ point of care
- Longer lengths of stay - 62% of uninsured report having healthcare debt
- 25% report they will never be able to pay it off - Higher rates of chronic disease
- Higher rates of health-related disabilities
- Worse healthcare outcomes
- Higher mortality rates ? est. 18k-45k death/year